Complications of Modified Radical Neck Dissection in Patients at Tertiary Care Hospital
Maria Mahmood, Sameer Qureshi, Rehana, Najaf Abbas, Uneeba Rehman, Munazza Saeed
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ABSTRACT
Objective: To determine
frequency of complication of modified radical neck dissection in patients at a
tertiary care hospital Karachi, Pakistan
Material and Methods:
Study design: This is a cross sectional section study, conducted at Department of ENT,
for Six months from January 1, 2019 to July 1, 2019. All the patients who
fulfilled the inclusion criteria and visited to department of ENT, were
included in the study after taking informed consent. Patients were discharged
by 48-72 hours postoperatively. Patients were assessed daily till the time of
discharge for occurrence of nerve complication, wound complications and
vascular complications. Data was entered and analyzed by SPSS 21 software.
Mean, Frequency and percentage were given for continuous and discreet data
respectively. Chi squire test was applied to detect significance. P value of
< o.o5 was taken as significant.
Results: Mean ± SD of age was 40.31±9.54 with
C.I (38.62.......41.99) years. Out of 126 patients 84 (67%) were male and 42
(33%) were female. Out of 126 cases complication 46(37%) developed nerve
complication, 47 (37%) had wound complication and vascular complication was
documented in 27(21%) cases.
Conclusion: surgical complications after modified
radical neck surgery are not uncommon. Wound complication was found to be most
common followed by nerve and vascular complication. Therefore proper antiseptic
measures before, during and after surgery, patient care and careful surgical
steps have a role in preventing these dreadful complications.
Keywords: Modified Radical Neck Dissection,
Complications, Nerve Complication, Wound Complication, Vascular Complication